Cynthia Leach
Individual provider Active NPI Social Worker · Lavaca, AR
NPI 1265804389 · NPPES record last updated Oct 28, 2015
Key facts
- NPI
- 1265804389
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 604 Tiffany Drive
Lavaca, AR 72941 - Phone
- (479) 629-0526
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
604 Tiffany Drive
Lavaca, AR 72941
Mailing address
604 Tiffany Dr
Lavaca, AR 72941-3845
Phone (479) 629-0526
Other providers in Lavaca, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.